IndividualActive
Vincent Jackson, RT(R)
NPI 1033471669 · Radiologic Technologist · Atlanta, GA
Provider details
- NPI number
- 1033471669
- Entity type
- Individual
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- RT(R)
- Sex
- Male
- Sole proprietor
- Yes
- License
- 394412 (MN)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
4950 Glaze Dr
Atlanta, GA 30360-1702
Phone: (770) 990-6821
Approximate (ZIP-level) locationGet directions
Mailing address
4950 Glaze Dr
Atlanta, GA 30360-1702
Registry dates
- Enumerated
- 2012-06-11
- Last updated
- 2012-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.